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首页> 外文期刊>International journal of urology: official journal of the Japanese Urological Association >Modified endoscopic live donor nephrectomy: retroperitoneoscopy followed by hand-assistance.
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Modified endoscopic live donor nephrectomy: retroperitoneoscopy followed by hand-assistance.

机译：改良的内镜活体供肾切除术：腹膜后镜检查，然后进行手辅助。

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摘要

We have developed a novel modification of previous approaches to donor nephrectomy and herein review our original operative procedure. First, the posterior aspect of the kidney was dissected retroperitoneoscopically and dissection of the renal artery, ureter and gonadal vein was almost completed. Second, the anterior aspect of the kidney was dissected with transperitoneal hand-assistance, and dissection of the renal pedicle from the anterior surface was accomplished easily and safely. This operative procedure was successfully performed for two donors with no intraoperative or postoperative complications. Our modified endoscopic donor nephrectomy is feasible as a minimally invasive procedure because of its safety, and its ability to preserve renal function and establish an excellent operative field for both posterior and anterior aspects of the kidney.
机译：我们已经开发了一种对供体肾切除术先前方法的新颖修改，在此回顾了我们最初的手术程序。首先，腹膜后镜切开肾脏的后部，几乎完成了肾动脉，输尿管和性腺静脉的解剖。其次，在经腹膜辅助下解剖肾脏的前部，并且容易且安全地完成从前表面的肾蒂的解剖。该手术程序已成功完成了两名无术中或术后并发症的供体。我们的改良内窥镜供体肾切除术因其安全性，保留肾脏功能并为肾脏的后侧和前侧建立良好的手术视野而作为微创手术的可行性。

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